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U.S. Senate
February 11, 2013 12:00pm-5:00pm EST on CSPAN2

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Broadcast Summary

00:30
cardinals conscious certainty repeatedly emphasized god due age body pope mind told host story roman leader duties suited longer billion examined strength adequate carrying advanced ministry exercise requires ap strengths worldwide catholics
01:00
tim caller morning republicans sequestration hi six tax 1st air cuts home host bring march taxes hello troops asking around latest eastern deadline spending breaking question arkansas democrats increases democratic
01:30
host caller taxes troops spending home bring world pay need okay june stop right death china taxed period enough income sanity russia instead norfolk embraced re increase virginia insanity military policemen republican yes
02:00
got june times caller several hi host rid live much gave stop hold given plane world taxes please control already country spending republicans governments socialistic
02:30
got cuts agree caller spending ve let much spun okay host hear line turn fact wants world press media taxed every third happen reason nothing country democrats president sequestration
03:00
problem right wealth spending redistribution too run let low much june host talk false table issue shows nancy listen almost crumbs sunday taxing pelosi budget deficit address argument interest yesterday washington
03:30
debt lower national deficit interest 15 tax act rate cuts sick host must tired times large debate writes versus levels paying budget immoral reduced spending increases percentage washington
04:00
editorial
04:30
gdp spending thornton security revenues 21 mr 18 rel rose host 1970 2007 close break 1970s around jumped fiscal points inside social happens prudent average
05:00
freeburg editorial washington responsible entitlements 16 bob 2010 host 1950 times spike spend figure almost jumped biggest morning federal spending medicaid culprits anything medicare
05:30
caller problem morning democratic pennsylvania hi ten got bob wage rich poor half kept host seven right wrong people wealth around facing minimum looking quarter country dollars growing thoughts disparity inflation
06:00
50 programs president suggested collecting 10 lot rate done wage ever hour raise point obama people course around minimum working nothing getting
06:30
caller host joyce morning importantly far span much 23rd okay drug met near right bring thank drugs staff cut issue obama ahead really wanted policy put capitol welfare em address schools spending bethesda need maryland president republican too
07:00
children taking responsible connecticut consideration 20 held line along really asking babies killed telling believe january treason actually certainly somewhere violating everywhere
07:30
drug actually programs involved legalization 20 30 cut far yeah cuts need many host joyce years issue comes saying caller program members country fighting children spending congress
08:00
obama address morning president baltimore sun page union state front jobs host york focus joyce touch from times issue drive leave renew night arms speech change voting tuesday nuclear economy guns climate tomorrow immigration reinvigorate okay cuts
08:30
post lady morning washington drastically fed host game page being guest union state world night around little nuclear changer address history national reducing tomorrow focusing arsenals security signature objectives
09:00
lady guests tradition survivor americans air since emily obama lenny nancy 1982 river people reagan writes speech flight save worker chilly florida spawned federal potomac join started address sat invited plunged everyday expected kyle hundreds michelle inviting box
09:30
span box washington republican sequestration john many radio union state tax issue relate mccain happen versus control org related perhaps details arizona eastern sparked gun address senator question coverage spending headline cuts starting increases compromise
10:00
happen sequestration president emotional devastating post fact world sorry avert women maybe taxes kelly mccain graham around little ayotte result serving warning lot deserve lindsey country campaign military remember men traveling dismissed dangerous
10:30
taxes president deployment consequences bipartisanship cuts call given raise state board aides maybe union raised giving better speech across coming severe already closers revenue delayed carrier tomorrow aircraft requires
11:00
saw boost economy administration infrastructure pay new try seen debt long along class movie energy middle called deficit longest package history spending stagnant stimulus education beginning investment manufacturing
11:30
force senator military air washington surveillance john page 000 warns ready 24 story fight akin woman hours able every child 53 front radar host times 1970s cans mccain create cut sunday deploy news hollow talking cuts america operate fox spending carriers navy aircraft headline brigades army
12:00
sent obtained congress dire scenarios contained table washington memos times series host
12:30
tax mark caller independent sequestration deal seven avoid board wants offer year cycle short debate public across silver cuts bullet called talking billion calling spending part esteemed michigan revenues detention president nondefense term altogether politicians unfortunately 85
13:00
tax pay whatever everybody government one working federal seventh ve ll done city paid fica since raise state issue means cover people system chance prorated pretended inability
13:30
cut tax revenue politicians necessarily dell else host debt page put right steve table raise idaho fraud done tweets versus couple excuse either twitter cuts deficit nothing harrison spending arkansas anything mark political situation standpoint
14:00
keep money three caller spending need care sun rev put cuts span okay host days road state obama knews union spend states travel already morning address reports ardelle revenues baltimore yes republican
14:30
chicago page front tribune sequestration tax help tide cuts guns drum host talk visit obama turns versus newseum support morning killings spending courtesy activists increases president proposals
15:00
caller fred host agree inaudible yes hi tax cut help need next point sorry hello world spend westen believe america morning virginia countries democratic
15:30
different immigrate countries generation superpower 64 150 200 ago goes hand tough years start china mixed africa states united nobody russia manners languages
16:00
live health medicare conversation beneficiaries dick okay fred 2014 care span2 occur black fully leave reform policy funded future durbin program america set senator changes alliance illinois coverage democrat law briefing inaudible implemented
16:30
conversations inaudible
17:00
thank program welcome senator congressional tell sort berg joke color board blunt sheila howard health pretty ed blocks coming behalf basics reform waiting show alliance goodness building medicare laughter important rest directors microphones rockefeller
17:30
total covering remember medicare approaching 50 600 cost 1969 1965 hill ready terms people single debate health federal program largest million enacted billion dollars
18:00
program medicare understand particularly policymakers 65 done year need huge plus five care since stamm works almost health popular congress delivers something expensive important americans disability
18:30
changes co today responsible understandable act find best 2010 part hear care turns large family kaiser sponsor partner program session moderate analyses analysis medicare briefing affordable foundation substantial
19:00
thank great kaiser medicare foundation camp boot glad vice many left today trisha policy tricia newman senior called talking pleased provide program overview speakers terrific director involved briefing um immediate president sometimes
19:30
fun kind short history medicare lot hill hope turn video shows today faces works family period kaiser minute serves capitol program release provides timeline prepared something challenges foundation colleagues information entertaining
20:00
sons daughters right dependent jobs apologies time depression elderly popcorn movies without ado
20:30
care costs couldn afford argument medical people hospital principal much problem particularly need wasn
21:00
people coverage times adopted ages happened three 32 inaudible help states poor elderly south thought older half often
21:30
socialism forgotten traditional hospitalized humanitarian 65 less easy real half under world haven daddy people income methods program medical project imposing disguise medicine medicare laughter everybody
22:00
social evening offices district kept security open people
22:30
legislation submit
23:00
people fear supposed applause free represent catastrophic illness shortly remit elderly help
23:30
24:00
costs place called fall 49 seniors hole million drug doughnut annual less signed exceed growth 250 plan
24:30
tests wellness including free physicals mammograms cheers anticipated exam seniors annual applause
25:00
25:30
26:00
26:30
given hadn care never medicare lot
27:00
anything available different explaining congressional bit nice okay town kind hope quick happy people little things regard enjoyed helpful offices overview meetings district applause
27:30
film thank laughter reinforce entertaining bit fast test hope flew hear turn right based little things detail pretty having fashion pencils alliance actually messages
28:00
kaiser webcast housekeeping biographical presentations got may bit lots find many fact along family little moment timely matter fashion support packets watching speakers arranged materials foundation colleagues powerpoint information
28:30
web site span watching background org ll kff find days right today reach within access autoof podcast sometime tomorrow probably computer allhealth materials transcript discussion
29:00
form question microphones appropriate edification ask org love well site fill blue hear card room print folks leave green coming either improve filling informed disposal talented programs allhealth web materials evaluation appreciate
29:30
ask questions medicare panelists presentations ll lot try feel free turn stump point topic brief basic smart panel today grasp basics hesitate briefing
30:00
program aimed around less questions keep background disagreements facts little arise policy try
30:30
glad juliette thanks happening pro associate stage discussion set director medicare policy cubanski today comp
31:00
million medicare today cover people 50 age 41 lot let ago role 1972 years facts older adults family covers ground kaiser provide started younger created anything expanded permanent essential disability 65 foundation
31:30
medicare benefits increasingly prescription disabilities care plans large people covers health drug income status 65 regard visits recent program years include elkhart cute private playing benefit without sense medical everyone role hospital provides entitled services needs delivered physician preventive post
32:00
medicare people impairments disabilities beneficiaries 17 many five needs three tends old eight older whole mental covers health one fourth safety modest nearly others sicker age chronic incomes 85 greater derived internet youngest live cognitive conditions population 13
32:30
part hospital program benefits medicare 22 500 200 less post case parts stays level visits social nursing skilled federal poverty divided provided majority services security primarily insurance physician traditional beneficiaries
33:00
health paying charges hospital deductible part cute 1200 home stay care turn years stays taxes people visits begins social become program payroll medical 65 entitled extended medicare security insurance automatic 10 enrollment supplementary
33:30
pay part people premium services higher subject monthly lab 105 flu 2013 helps shots income visits prevent related service incomes meaning hospital premiums medicare voluntary physician outpatient mammograms enrollment deductible coinsurance 20
34:00
part medicare delivered traditional organization enroll private receive benefits have plan such plans health plants always through federal covered provide provider payments enrollees different advantage preferred government alternative maintenance beneficiaries
34:30
medicare often services benefits advantage john care tell part plan years 2010 since plans makes cover system dental 2006 driven recent vision suffice payment benefit paid changes probably ask dramatic colleague important expansion such affordable enrollment availability act
35:00
medicare drug benefit advantage availability 13 lots find 2006 part today plant plans people kaiser website started million quarter enrolled carefully voluntary monitoring outpatient enrollment information prescription beneficiaries
35:30
plans benefit medicare standard advantage stand alone 20 many least shown state issue pay offer along equal value design choose long either private provide monthly actually required part enrolling delivered supplement alternative beneficiary traditional plan beneficiaries
36:00
part coverage hole doughnut beneficiaries gap cost low drugs until known people result may reform health closed during assets saving 100 through reached sharing million incomes eligible law benefits premiums co subsidies currently additional everything 2020 catastrophic 10
36:30
share medicare prescription beneficiaries congressional 90 drug tolls today risen along cost costs small office people budget rising part health fishery largest lashing hospital payments plan coverage services benefits comprise inpatient sectional care according providing hospitalized 26
37:00
part payments enrollees physicians reflecting pay plan seven money share sorry tax taxes large piece comes orange plants big exhibit sources several payroll followed spending bar earnings benefits 11 medicare dedicated primarily different paid advantage employers relatively 14
37:30
medicare part cover services premiums such home blue long term paid dark stays covers pieces dental pay vision nursing federal support climate package bar charges extended benefits relatives employees important gaps government traditional beneficiaries
38:00
part incomes 000 greater insurance must place fixed spend annual living each income pocket 85 burden unlike related couples limit indexed sharing 170 private medical typical expenses along premiums medicare cost including increases beneficiary deductibles plans individuals supplemental beneficiaries sort
38:30
medicare pay help sharing policies top helps plans known costs income cost dental pocket private retiree support benefit long million medigap services employer provides coverage care benefits premiums co medicaid including insurance advantage term sponsored requirements beneficiaries low
39:00
medicare years costs rising households real times spend health income policy lady pocket coming gaps recent fiscal faster concern ways bolster current acts perhaps program greater improve house climate justify care adequacy focusing expenses together three attention discussion beneficiaries ever
39:30
include achieve coverage changing including savings 2010 taken gap plans steps system phasing care sharing payment act several benefit efforts medicare cost designed services less payments financial hospitals direction major enhancing advantage past provisions protection prevention eliminating years legislative improvements ways
40:00
medicare put act next spending 716 ways able 2011 tell hold raise types lower calls sheila cut happen decade effect budget relief control net billion taxpayer payments american revenues providers may physicians temporarily sequestration
40:30
program medicare financial implications beneficiaries may term vital leave faces series much thanks source health future moving message long current forward welcome million popular changes next proposed juliette ed remember critical americans important hear understand challenges protection 50
41:00
medicaid within center jonathan medicare hhs blum long deus glad care term thank great office senate topics budget served senior biggies various finance advised director services official committee management responsibly opportunity
41:30
medicare cms talk plans program act four pays part care given today goals quick second health facing current overview provided thoughts benefits providers important affordable challenges perspective presentation opportunities beneficiaries
42:00
care pay nutshell medicare fundamentally real talk signs quick seeing coming leslie health program setting deliver country example coverage progress changing benefits analysis payments transform promising throughout transformed beneficiaries
42:30
part choose benefits medicare beneficiaries plan drug enroll receive benefit fee for three eight talked health second become private general service program pathway eligible juliette pathways outpatient beneficiary comprehensive
43:00
program medicare right traditional beneficiaries fee pay two pays part farsi plans break third sector thirds health faster called private service overall growing juliette providers described currently advantage physicians
43:30
care providers system program payment pay part drg long post term party known acute health rugged nursing skilled hospice service largest hospital provides benefits payments component operating inpatient facilities traditional fee beneficiaries
44:00
services physician benefits outpatient competitive sgr apc cap home part side total drugs found model office system health called setting largest durable deliver payment medical category hospital analysis equipment laboratory components
44:30
part plan status private payment plans fixed health choose fee pay per pays site gets month drugs cover market income monthly program covered overall schedule fissures benefits medicare capitated traditional beneficiaries
45:00
beneficiaries status healthy medicare challenges gets plan cows paid care talk three plans small really health sacred strong ensure chronic program overall payment average adjusted juliette shifting tournament conditions incentives
45:30
program spending challenge traditional fundamental gdp fee talk share faces second makers policy trends respond happens service current medicare defending variation tremendous
46:00
different across payment country dramatically code care lead occur scans cat faces shows health drives service pattern fee explain program happens whether category spending per services patterns medicare variation challenge beneficiary map differences traditional fundamental
46:30
hospital beneficiary dramatically complications beneficiaries total acute areas shock slide five makes second varies health status mapped post quality program failure episode country outcomes talk spending compares separate medicare payments different heart component physician reignition
47:00
care across status episode country pays hard cost dish post rates acute stands varies health drives leaves control happens service patient medical spending hospital teaching medicare inpatient different 30 variation readmission beneficiary
47:30
quality cost matrix differences correlation map long much data term right faces chart tries slide secret trying program driving outcomes medicare literally financing addressing challenges illustrate understand
48:00
cost high parts quality different low axis areas country reignition the plot fall care total shows slide deeply measure current pashtun overall metrics hospital measures committed
48:30
cost parts quality country possible high find ways care measures pay low goes much data right really lowest notion promote provide operate analysis behavior different challenge correlation
49:00
care policy change program services pay given plans health fee act cms host part news side tools thing within managed service hospital medicare payments different physician implement affordable implemented interventions fundamentally
49:30
program accountable care physicians organizations co 250 aco cost acos group parts large things couple groups become measure working provide instead payment country example measured hospitals virtually operating
50:00
cost total change payment individuaindividua aco every goals small system second care doctor notion nursing skilled savings quality keep portion receive anybody changes hospital patients share provider cortical becoming services medicare hospitals theme physician facilities accountable
50:30
measures care quality payment growing cost long tied total based every agency process systems channel patient overall operate outcome outcomes provided encompass collected increasing satisfaction differential beneficiaries
51:00
plans star care higher payments four based bonus drive rating incent best within better health lowest paying pfizer much called quality greater provide program overall five benefit centered medicare authorized affordable beneficiary rated opportunity differential reimbursement act
51:30
star beneficiaries four five tremendous plan plans seeing choosing pay put seem much week last shift attain really shifts choose engage harder making notion quality bundled highest payment hospitals initiative participation
52:00
program cost care really transformed pay ways test total takes given slide costs figure payers return private payment episode getting compared hospital combined medicare payments providers different physician consistent
52:30
show care really payment payments maps kind signs total based number system taking notion signing quality program various shifted towards success stepping cost delivery medicare starting transforms tremendous innovation lead physicians perspective participation
53:00
plans seeing quality exciting beneficiaries cost owes lows fact trend due signs seems third really adding agency low capita growth working program shifted overall show portion changes hospital strategy historic downward high voluntary readmission beneficiary
53:30
set care years control beneficiaries past cost lows spin total three lower place seeing incent number really couple higher coming change capita law quality provide program payment historic behavior cms providers innovations demographics
54:00
care positive recognition explanation fundamentally set right signs costs gives seeing per within really growth health capita control act mission working program economy overall evidence cost hospital strategy patterns medicare something different else therefore affordable understand
54:30
thank strategy affordable implemented opportunity cost john data care turn seems burke happy great spent place sheila really answer strong quality believe put working finally harvard faculty country possibly act questions variation tremendous
55:00
chief majority minority discussion administrative life among right chunk staff big holds party nurse today early posts bob worth sheila senate noting leader degree dole worked school career nursing working several body kennedy officer senator
55:30
thank questions challenges interesting frightening ed set job put bit fear long much care board sheila issues little health tricia deeper pleased closely morning terrific jonathan touching inviting involved
56:00
program certainly discussions tremendously notwithstanding many talk terms great people 50 caught effect desire elderly reality covered much million country coverage disabled politics achieved 2012 terrific cubanski juliette medicare recovered structure fact providing successful background
56:30
since respect program terrific expenditures done film rise 1955 fact share issue story faced almost kaiser nation budget growth deficit economy worried put federal outcomes spending expected reflected inception cost forefront underscore discussions
57:00
terms services utilization differences nonetheless many fact years trust shows site level taxes around pointed slowing quality cost clearly program payroll whether country worried part financed actually increase chargers expected jonathan care received continuing variations
57:30
part pointed program declining expenditures fda trust match terms large costs rest whole course impact amount occurs funded paid budget things century general variety increase fund function resource cdc programs premiums medicare revenues many available something important nih
58:00
fact result increasing expenditures incorporated seek risk slow part people partly nature budget capita wrigley pointed per general federal program believe payment changes put services jonathan spending medicare exploited projected aca recession discretion percentage
58:30
fact great program continuing enrollment put show 2012 grow 2021 aging place course growth moment burden reliant pointed respect quality getting whether country question jonathan pressure services annually continue questions
59:00
terrific really program constituents straightforward ama job rate note ways sort jama side point slide slower pieces growth kaiser series private talking utilize packets programs encourage important describing cooperation complicated
59:30
terms result effort program deal structure great last years
01:00:00
services encourage physician outpatient restructure pay try sure drugs better decide finance however payment attempt whether rethink changes hospital delivery described efficient
01:00:30
larger elderly changes incorporated beneficiaries 2010 fact share almost things 26 access income higher recent annual social um program sharing assured focused receive average pays benefits consumed premiums medicare security currently cost encourage sufficient participate
01:01:00
income cost fact sharing beneficiaries aca beach people living source access golf juliet higher target points social primary palm utilize include changes playing majority services care security targeting correctly dependent relatively population delay essentially encouraging maintaining low
01:01:30
services appropriate issue respect sharing cost right sure play many share years burden others arisen amount focused changes hospital questions encourage important physician obviously preventive deductible utilization coinsurance
01:02:00
care fact disabled important sustainability long much ages term worry today people course impact delays health reason budget program elderly leading finally ask coverage excessive treatment evidenced encourages challenges mind particular appropriate particularly
01:02:30
medicare visit services utilization expenditures 12 000 care 2013 five three least terms every exceed juliet depend showed capita numbers program average quarters hospital physician population beneficiary
01:03:00
around services essentially infrequently beneficiaries aca dual tend nine face focus small costly number looking program million eligible spending majority medicaid medicare greatest eligibles evidenced challenges relatively discussion population
01:03:30
best services particular appropriate coordination job aca high fund part fact trust worry focus costs address element concerns continue medicaid programs medicare questions character evidenced individual population coordinate encouraging
01:04:00
program fund trust bills insufficient hi pay 2012 2024 money aging funds number source report paying remain boomers revenue workers reality becomes solvent primary reduces eligible trustees suggests currently scheduled increases
01:04:30
done term compendium discussions essentially cbo hear begun issue short others put issues kaiser budget current finally include open address context serious options terrific spending long restrain possible revenues routinely proposals discussed host additional discussion strategies um
01:05:00
list really restructure illustrative beneficiaries cut kinds means great spent thing tend likely things across respect benefit program fall finance payment easiest portion designed services fact outdated medicare providers confusing attention reductions board exhaustive categories considered
01:05:30
system payment essentially inflationary beneficiaries pay high cost gaps care costs issues really around pocket limits sharing rethink jonathan coverage delivery providers basically structure suggested relatively efficiency considered initiatives deductibles coordination
01:06:00
whether 65 access eligibility essentially fact force terms world notes cost today people chosen arisen limits length role program staying sharing created rethink disturbs part question coverage behavior questions distracts mortality date cautionary appropriate incentivize
01:06:30
plans benefits coordinated beneficiaries restructuring pay aca fact heard basic model people across managed quality support utilize program forward premium created changes options services accepted medicare questions advantage old structure suggested incentivize
01:07:00
000 medicare considered distribution beneficiaries 12 cost much full care fact among point heard sense thank great slide sheila things budget forward average thought context spending hopefully continuum describing provisions
01:07:30
ask questions question microphones beneficiary 12 per 000 lots sure case keep write thank cover asked fairly coffer concise average vocally identify projected
01:08:00
lot question advantage affordable enrollment jon off act sure care bring start those staff ahead green cards debate tricia around snatch during someone concern decline forward whether alliance medicare
01:08:30
plans enrollment seen terms beneficiaries less pull many mean added people much health passed paying future toward notion rise provide overall average without happened opposite paid services response ve medicare starting different advantage care predicted affordable gravitating lot
01:09:00
10 plans seeing growth prediction fee far act cms rate much 2011 2013 2012 spot care signs access pretty degree faster service program choosing positive predicted affordable predicting traditional beneficiaries
01:09:30
different past experience dramatically beneficiaries 90s per act much plan true care bring signs prove rates plans track seeing caused coming pulled brought payment reduced congress payments decreased tremendous affordable disruption
01:10:00
star program reforms beneficiaries notdiminished sure five rate plans risen cost incent growth stayed access levels faster four future fallen signing reasons sharing overall much payment benefit focused delivery programs payments felt important optimistic accomplish
01:10:30
program services important traditional beneficiaries blum part mr right given group thank much bonus panel yes ahead incent thanks really star system higher fee levels quality service potomac five holding achieve just helpful receive growing fastest plan choosing question research toss
01:11:00
rates wondering recompete competitive preliminary cuts part loss wish topic again ratio plans coming lastly impact aca detail wonder wouldn couple minimum subject dme bidding shortly rebasing actually upcoming released mind touching projected questions
01:11:30
next rates payment proposed opportunity yet rate true 2014 plan bids days plans track asking answer health public couple comment release released questions structure
01:12:00
durable medical equipment affordable competitive act today plans round seeing really move health phased across results general pricing much program bidding payment country context changes true response different generally statement recompete structure care predicted phenomenal authorized
01:12:30
changes tremendous appropriate compromising beneficiaries ma ask much care room signs might value people reduce access paying program quality durable greater without explain programs payments equipment forgotten providing
01:13:00
paid premium medical portion beneficiaries loss ratio medicare case total sizable sure share government program broad standards 85 part really terms
01:13:30
policies proposals authorized affordable requirement run put why act cms soon 2014 okay part care plans ahead place sheila explain anybody medicare benefits starting
01:14:00
people number payroll declines medicare baby fund 2024 trust issue funds taxes retire result income tested tax prevent boomers decline workers suspect present pay bankrupt question increase continue supposed retirees part essentially interesting contributing
01:14:30
payroll tax number whether certainly often trust again might people impact spread income across higher nature fund entire target larger become program largely base context drawing question increase continue questions time population considered individuals
01:15:00
part number sponsored difference eligibility 67 age cons pros draw okay else fund chime trust watch costs course juliet kaiser source revenue workers raising anybody alliance thoughts benefits retirees certainly
01:15:30
health raising medicare insurance eligibility age people 65 act rely turn lots care main last many large prior create access longer passage details december concerns coverage briefing basically population affordable
01:16:00
people coverage insurance expensive exchanges non many access through act care often based state youyu raised likely option showed private passage elderly created channels employer analysis 67 medicare sponsored affordable eligibility prohibitively age
01:16:30
higher medicare saves costs people cost many side plus money total guess or states finish kansas effect remain called net concern federal however overall raising actually big medicaid coverage expanded employers government eligibility age marketplaces
01:17:00
win associated additional foundation government crack watch maybe costs family juliet kaiser related federal several exactly lot webcast endorse exchange medicaid coverage december jon analysis briefing subsidies questions materials expansion money referring according conducted
01:17:30
star plans asked because referred five advantage went system four rating general office asks question works related lot medicare senate money
01:18:00
plans effect advantage understand anticipate may aca show cuts kind star three taken sorry later access around lesser related perhaps explain phasing question problems benefits medicare referred represent overwhelm scheduled
01:18:30
average cost program traditional beneficiaries 14 try fee act best paid care three plans order health answer service provided compared services questions affordable overpayment
01:19:00
average close payment affordable overpayment act care called fee 100 900 cost main half bring today plans phased across paying service program phasing overall country changed structure differences traditional
01:19:30
law payments collected authorized overpayment fee 100 cms long star 50 plan 2007 since track today plans 60 bonus phase prior period passed higher 14 quality ratings service program various produce um average roughly measures
01:20:00
star four five plan measures two one cms kind care built score three goals really moving program quality achieve towards overall outcomes authority collected processes consensus everything transformed performance demonstration
01:20:30
star five data program improvement much plan kind went scale three today gives great prior incent 16 really create harder making gradual quality four working overall measures starting authority regarding seen criticisms confidence demonstration
01:21:00
four star three plans really five half beneficiaries 37 act plan care none talk third goals seeing incent health making quality program created incentive structure affordable executives improvement fundamental transformation
01:21:30
10 growth incentives overpayments beneficiaries 14 sign high aver 2013 paid last plans track shift reduce market create coming strong respond program improve created average payments projected standards
01:22:00
helpful question criteria responding comparisons got bit dead past aren star risk card kind talk horse might today while people little decide another ratings working explain program beating related
01:22:30
measures set star kind independent um four ncqa five plan data staff party third happen things sources measure collect converts standard collected standards established association fundamental
01:23:00
star four five plan judgment high status achieve measures less fast fact means phone calls making shifted process service answers believe outcome criteria customer emphasize standards beneficiary performance satisfaction
01:23:30
measures star achieve beneficiary satisfaction five plan care high last four years plans means model seeing create couple trying making quality believe shifted criteria standard judgment judgments incentive emphasize structure
01:24:00
sheila beneficiaries fundamentally consolidation representative okay part speak hatch plans maybe market cantor juliet tricia bowles having program written floated senator simpson recently question singular medicare different structure goes responding coinsurance fundamental
01:24:30
services model blue whether question cost today shield single create across full higher arisen remains suggest initial current array provided separate medicare hospital estimates encourage based physician physicals originally deductible beneficiary coinsurance cross essentially coordination
01:25:00
services utilization essentially consolidated beneficiaries number raises really impact offing trying change bowles create service current try greater attempt benefit simpson compared hospital among medicare frequency questions physician structured incentives might understand coordinate coordinated
01:25:30
questions considered competitive individuals beneficiaries pays cost okay labs fact sites areas great ahead number result really impact things higher larger service um sharing bidding doctors whether question medicare lot hospitals different something
01:26:00
seen bidding supplies competitive beneficiaries cost rent test kind right focus start power drive strips quality durable program routine episode success medical bundling increase diabetes purchase tremendous phenomenal wheelchairs
01:26:30
care program quality spending competitive bar beneficiaries whether question respects raised taxpayers fact categories brought services compromised open savings benefit
01:27:00
part already greater flavors bidding signs costs model show much pure paid 2003 helps grown plans lower slower access models savings overall produce benefit example positive authorized competitive competition
01:27:30
models payment savings different competitive pay ways test week kind last meet means offer really bundle target quality program elements starting providers hospitals depending announced principles authorities beneficiaries demonstration participating
01:28:00
greater bidding competitive specifically beneficiaries mix far seen true care talk doing signs trish issue value really models policy comment quality produce context bundling category providers certainly promising department bipartisan potentially
01:28:30
care really acute across particular try silo post kind sites based least today track others reduce little system center occurs handoff purpose payment bundling requires incentive concerned continuum environment essentially coordination
01:29:00
really full much post acute many terms array begin seeing occurs recent broader someone patient closely too attempt whether bundling question strategy providers try encourage attention particular coordinate utilization readmission care readmissions disincentive servicesesome
01:29:30
care acute reestablish essentially coordination try look array given terms every isn manage better having sharing patient helping sort episode whether hospital provider handoffs services full patients preadmit set postacute attention different management data incentives throughout information job
01:30:00
ownership particular management arrangement intermediate got jon week full care last looks array sheila follow really create health someone several patient facility question services different incentive condition announced initiative
01:30:30
put models bundles together administration four sort care model sector hinder freeze really bundle private forward putting episode whether worried proposed hospital payments starting providers different wondering questioner experiment innovation particular
01:31:00
care different tremendous flexibility standardization drg find ways able five adrg total given tried slide costs works incent around assess really cities versus wanted showed balance hospital providers pay primarily variation proposals
01:31:30
hospitals care postacute spending readmissions set drgs best much sort sure ones sheila figure reduce really health choose number trying channels balanced providers participate opportunity distribution
01:32:00
models different hospital postacute physician care combine mix drgs focus parts given works figure really health choose trying country provider providers hypothesis differently dramatically participating
01:32:30
across difference complexity information standardization data kind fact care point needs sites build tried given areas works spent assess policy broader quality fair country balance jonathan gathered fostering attention cost structure understood creativity
01:33:00
kansas essentially necessarily institution particularly big mind city aren long term care areas rural comes senate career rather amount someone centers midwest shifted regional distance patterns worrying discharge may facilities integrated vertically
01:33:30
may areas people particular understanding need whom true sense might urban rural number issues simple trying process bundles whether services locations attention discharged department understand coordinate appropriately
01:34:00
number understand specialists institution relationship lot men try sees help much perp data many mean cared manage really people simple process elderly someone benefit patterns involved providers direction department struggling beneficiary
01:34:30
part question revenues historian significant see got why move seem sure 1965 done fact group began design happen juliet things source comment revenue process general program briefly purpose
01:35:00
program voluntary physician relationship accommodation ama much sure part great nature desire placed remain federal opposed creation services involved compelled importance separation participate beneficiary combination essentially individuals
01:35:30
premium essentially social security introduction 25 50 hi pay put rate size check years limit effort general exceeded congress increase paycheck designed premiums revenues reduction increased president essential relationship
01:36:00
part fund trust program voluntary tax add same role play talk harte belong slowly choice desire applied payroll creation financed premiums similarly financing principles beneficiary
01:36:30
part general solvency programs premiums set fact talk issue match means every sheila course coming revenue earlier whatever financed annually revenues addressed mentioned projected questioner combination expenditures contributions
01:37:00
part coming payroll whatever benefits pay fund money trust tax 2024 left being years sense match funds later taxes income classic concern solvency provided bankrupt available sufficient expenditures
01:37:30
add done fraud medicare sufficient pay top isn might thank party issue wants maybe fully beyond program advance question benefits delivered widespread government
01:38:00
variation sometimes tremendous geographic utilization map far part hear fraud slide drill really driven showed always because driving pattern handful busting average country exceeds services providers different generally
01:38:30
fraud set really programs implemented lot job key try cms stop data kind focus right three cause exists policy reason happens program address payment agencies medicare resources investing tremendous
01:39:00
spending patterns resources investigate investigations key help find data human edits fraud office really appear agency health policy action agents general through address payment services analysis providers inspector tremendous fraudulent
01:39:30
fraud really stop kind investigating ig arm doj cms role part sense three gives entity pursue primary measure happens justice overall closely behavior department committing fraudulent investigate prosecutorial
01:40:00
country largely resources framework affordable re we act put move stop care kind many known again spots parts tends fraud place whole assess spread around respond measure develop monitor working applied
01:40:30
due much care every health 10 65 got 000 cost costs system entire slides refers future boomers turning showing question increase displayed increases projection underlying projections demographics
01:41:00
cost last costs increase beneficiaries 60 40 per saw age flat right years number growth couple driven coming capita program elderly counted medicare virtually suggested accounted projections
01:41:30
cost growth driven medicare demographics 2000 right being years since hard costs today sheila office people future rate pretty couple lowest report recent budget hear driving growing spending question majority virtually last sometimes astonishing congressional
01:42:00
data true choose physician participate 94 trend track within doctor access surveys program finding overall national evidence positive medicare carefully voluntary somewhere physicians beneficiary neighborhood participation
01:42:30
physicians overall country average beneficiaries parts report program find able data care signs shows within access choose strong primary concern quickly finding isolated medicare physician participate particularly participation
01:43:00
care beneficiaries medicare department affordable 30 jon act done need lots able next else mean right years might terms happen impact looked primary million qualify anybody portion provider coverage services
01:43:30
force sufficient innovations demographic beneficiaries lot put aco part care fact build place health really center always respond mindful primary program covered payment changes millions programs medicare insurance emphasize conscious
01:44:00
care force health primary focusing need ways much role parts build nurse model really models effect tested effort center respond bundled greater promote payment central delivery stronger department practitioners professionals
01:44:30
support changes medicare fundamental historically add help both many force point build expand larger comment payment jonathan coverage stronger generally americans questions additional innovation activities demographic
01:45:00
providers looking nonphysician reimbursement nonprosecution past role mary play care many ores force nurse rules others things except unique workers question medicare community instances wakefield practices particular decisioners discouraged utilization essentially
01:45:30
teams extent question practice essentially issue role full point state scope rural whole raised people states things nature permit federal systems factual clinics payment license rethink creation questions providers nonphysician circumstances
01:46:00
yes benefits laughter questioner elaboration to okay needs delay wants quick people juliet answer laying social whether receive question actually medicare security receiving
01:46:30
people social medicare security office 65 sure bit idea down tell head used sense avoid great makes glitch little working aligned delaying probably coverage programs perfectly retirement complicated approaching
01:47:00
little identify weeds try crawling extra cover everybody gentleman wait burden questions taking away basics reprieve ask track bit
01:47:30
real heard basic december individual lot put one age ways much life talk talks kevin ended 67 costs reduce really goader patient started 31 january yourself question increase advanced benefits 1st medicare inaudible receiving
01:48:00
much marathon expensive typically beneficiaries 10 eve end pay 000 mile year life care last talk ready words spent course thanks health average lifetime spending question actually
01:48:30
talk people last world health saw care 25 lot gets life ready study system policy between medical spending families delivery personal medicare happened decisions providers difficult physicians
01:49:00
yes world doctors comfortably discussions big aca deal when okay share issue tried maybe large talked simple policy fairly tricky respect accounts spending question families congress something statistic important sometimes
01:49:30
primer congress foundation number subsequent 1st primers cooperation family traditionally march scheduled tricia emphasize roll medicaid mentioned session kaiser abcs
01:50:00
care foundation colleagues involvement conversation op act drew plea last diane heard thank folks panel costs health roland listen altman active pieces surface general question laughter gentleman affordable
01:50:30
longevity concerned prevention substantial alternatives far ill save pill such kind away among heard every costs yes people bottom wouldn paying veered fallen yet embrace adopted mindset country nations recently lot measures medicare developed
01:51:00
lot sort genetically unfortunate improvements and long town term mean often foods wants people course living things lately working dangers present lifetime coverage modified medicare questions